Original articleGeneral thoracicPredictors of Anastomotic Leak After Esophagectomy: An Analysis of The Society of Thoracic Surgeons General Thoracic Database
Section snippets
The Society of Thoracic Surgeons Database
The STS General Thoracic Surgery Database was established in 1999 to support ongoing quality and patient safety initiatives for individual surgeons and hospitals. Details of STS data collection, reporting, and auditing have been published elsewhere 9, 10. Two versions, 2.07 and 2.081, of the STS General Thoracic Data collection form have been used for this manuscript. Version 2.07 does not differentiate between types of esophageal resection (ie, transhiatal versus Ivor Lewis), whereas version
Results
There were a total of 7,595 esophageal resections entered into the STS General Thoracic Database, with a total of 804 (10.6%) anastomotic leaks. Preoperative patient variables and the univariate association with anastomotic leak are seen in Table 1. The majority of patients were white men with a median age of 63 years. Preoperative chemotherapy was administered in 50% of patients, and preoperative radiation therapy was performed in 45%. Body mass index, congestive heart failure, coronary
Comment
As the incidence of esophageal cancer continues to rise in the United States, the opportunity to perform potentially curative surgical resection also increases [12]. Esophagectomy continues to remain a challenging and difficult surgical procedure, associated with significant morbidity and mortality 13, 14. Identifying factors preoperatively in patients at risk for esophageal leak may provide opportunities to modify these factors or more fully optimize patients to reduce their risk of
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